Walter, Matthew Timothy

Walter, Matthew Timothy is an sole proprietor health care provider with primary practice located at 225 N Bloomington St Suites B-D, Lowell AR 72745-9103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Walter, Matthew Timothy can be contacted via phone (479) 757-5054.

Contact Information

Primary practice address
225 N Bloomington St Suites B-D Lowell AR 72745-9103
Phone: (479) 757-5054
Fax: (479) 757-5055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2015019923 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-0008 Arkansas

Profile Details

NPI number 1386640175
LBN Legal business name Walter, Matthew Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2005
Last updated Apr 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386640175 NPPES
Arkansas MEDICAID 129927001

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